ISSN: 1859 - 2872
A rare case of melioidosis with mediastinal abscess treated in Vietnam
Main Article Content
Keywords
Melioidosis, Burkhoderia pseudomallei, Whitmore, mediastinal abscess
Abstract
Melioidosis is a multi syndrome illness due to infection by Burkholderia pseudomallei; it mostly affects tropical areas including Vietnam. Pneumonia, skin, and genito-urinary tract are the predominant manifestations of melioidosis, in addition, septic arthritis, and deep seat abscesses in the central nervous system and intraabdominal occasionally occur. Nevertheless, mediastinal abscess due to melioidosis has been scarce worldwide. Herein, we present a rare case of melioidosis with mediastinal abscesses that is difficult to diagnose, a sequential thoracic CT scan found the abscess. The patient was successfully recovered following an operation for drainage pus and prolonged systemic antibiotic.
Article Details
References
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2. Currie BJ, Fisher DA, Howard DM, Burrow JN, Selvanayagam S, Snelling PL, Anstey NM, Mayo MJ (2000) The epidemiology of melioidosis in Australia and Papua New Guinea. Acta tropica 74(2-3): 121-127.
3. Currie BJ, Ward L, Cheng AC (2010) The epidemiology and clinical spectrum of melioidosis: 540 cases from the 20 year Darwin prospective study. PLoS Negl Trop Dis 4(11): 900.
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5. Currie BJ, Mayo M, Ward LM et al (2021) The darwin prospective melioidosis study: A 30-year prospective, observational investigation. Lancet Infect Dis 21(12): 1737-1746.
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7. Chang CY (2024) Melioidosis Masquerading as a Mediastinal Abscess. JMA J 7(3):443-444.
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10. Nguyễn Hoàng Sơn, Đinh Thị Hoàng Oanh, Nguyễn Hữu Thọ (2023) Nghiên cứu đặc điểm lâm sàng, cận lâm sàng, và hiệu quả điều trị melioidosis tại Bệnh viện Đà Nẵng. Truyền nhiễm Việt Nam 2(42), tr. 65-70.
11. Nghia Le Viet, Kim Thu Nguyen, Ngoc TP (2021) Epidemiological and clinical characteristic of sepsis caused by Burkhoderia pseudomallei infection at National hopital for tropical diseases from 2016 - 2021. Vietnam Journal of Infectious Diseases 4(36-07): 49-53.
12. Phuong DM, Trung TT, Breitbach K, Tuan NQ, Nübel U, Flunker G, Khang DD, Quang NX, Steinmetz I (2008) Clinical and microbiological features of melioidosis in northern Vietnam. Trans R Soc Trop Med Hyg 102(1): 30-36.
13. Athanassiadi KA (2009) Infections of the Mediastinum. Thoracic Surgery Clinics 19(1): 37-45.
14. Mantzouranis K, Georgakopoulou VE, Mermigkis D et al (2021) Staphylococcus aureus mediastinitis following a skin infection in a non-immunocompromised patient: A case report. Biomedical Reports 15(6): 104.
15. Mantzouranis K, Georgakopoulou VE, Mermigkis D et al (2021) Staphylococcus aureus mediastinitis following a skin infection in a non-immunocompromised patient: A case report. Biomed Rep 15(6): 104.
16. Wada H, Shina Y, Kamata T et al (2022) Successful management of a mediastinum abscess with sternum destruction caused by MSSA bloodstream infection. Surgical Case Reports 8(1): 81.
17. Lipsitz R, Garges S, Aurigemma R, Baccam P, Blaney DD, Cheng AC, Currie BJ, Dance D, Gee JE, Larsen J, Limmathurotsakul D, Morrow MG, Norton R, O'Mara E, Peacock SJ, Pesik N, Rogers LP, Schweizer HP, Steinmetz I, Tan G, Tan P, Wiersinga WJ, Wuthiekanun V, Smith TL (2012) Workshop on treatment of and postexposure prophylaxis for Burkholderia pseudomallei and B. mallei Infection, 2010. Emerg Infect Dis 18(12): 2.
2. Currie BJ, Fisher DA, Howard DM, Burrow JN, Selvanayagam S, Snelling PL, Anstey NM, Mayo MJ (2000) The epidemiology of melioidosis in Australia and Papua New Guinea. Acta tropica 74(2-3): 121-127.
3. Currie BJ, Ward L, Cheng AC (2010) The epidemiology and clinical spectrum of melioidosis: 540 cases from the 20 year Darwin prospective study. PLoS Negl Trop Dis 4(11): 900.
4. Bzdyl NM, Moran CL, Bendo J, et al (2022) Pathogenicity and virulence of Burkholderia pseudomallei. Virulence 13(1): 2139063.
5. Currie BJ, Mayo M, Ward LM et al (2021) The darwin prospective melioidosis study: A 30-year prospective, observational investigation. Lancet Infect Dis 21(12): 1737-1746.
6. Currie BJ, Price EP, Mayo M, Kaestli M, Theobald V, Harrington I, Harrington G, Sarovich DS (2015) Use of Whole-genome sequencing to link burkholderia pseudomallei from air sampling to mediastinal melioidosis, australia. Emerg Infect Dis 21(11): 2052-2054.
7. Chang CY (2024) Melioidosis Masquerading as a Mediastinal Abscess. JMA J 7(3):443-444.
8. Lê Thị Yên, Nguyễn Văn Lâm, Hoàng Thị Bích Ngọc và cộng sự (2023) Đặc điểm lâm sàng, tính nhạy cảm kháng sinh và kết quả điều trị bệnh Whitmore trẻ em tại Bệnh viện Nhi Trung ương. Tạp chí Y dược lâm sàng 108 18(8): 34-39.
9. Trần Đăng Khoa (2021) Melioidosis tại Bệnh viện Bệnh nhiệt đới từ 2009 đến 2019. Y Học TP. Hồ Chí Minh 25(1), tr. 142-147.
10. Nguyễn Hoàng Sơn, Đinh Thị Hoàng Oanh, Nguyễn Hữu Thọ (2023) Nghiên cứu đặc điểm lâm sàng, cận lâm sàng, và hiệu quả điều trị melioidosis tại Bệnh viện Đà Nẵng. Truyền nhiễm Việt Nam 2(42), tr. 65-70.
11. Nghia Le Viet, Kim Thu Nguyen, Ngoc TP (2021) Epidemiological and clinical characteristic of sepsis caused by Burkhoderia pseudomallei infection at National hopital for tropical diseases from 2016 - 2021. Vietnam Journal of Infectious Diseases 4(36-07): 49-53.
12. Phuong DM, Trung TT, Breitbach K, Tuan NQ, Nübel U, Flunker G, Khang DD, Quang NX, Steinmetz I (2008) Clinical and microbiological features of melioidosis in northern Vietnam. Trans R Soc Trop Med Hyg 102(1): 30-36.
13. Athanassiadi KA (2009) Infections of the Mediastinum. Thoracic Surgery Clinics 19(1): 37-45.
14. Mantzouranis K, Georgakopoulou VE, Mermigkis D et al (2021) Staphylococcus aureus mediastinitis following a skin infection in a non-immunocompromised patient: A case report. Biomedical Reports 15(6): 104.
15. Mantzouranis K, Georgakopoulou VE, Mermigkis D et al (2021) Staphylococcus aureus mediastinitis following a skin infection in a non-immunocompromised patient: A case report. Biomed Rep 15(6): 104.
16. Wada H, Shina Y, Kamata T et al (2022) Successful management of a mediastinum abscess with sternum destruction caused by MSSA bloodstream infection. Surgical Case Reports 8(1): 81.
17. Lipsitz R, Garges S, Aurigemma R, Baccam P, Blaney DD, Cheng AC, Currie BJ, Dance D, Gee JE, Larsen J, Limmathurotsakul D, Morrow MG, Norton R, O'Mara E, Peacock SJ, Pesik N, Rogers LP, Schweizer HP, Steinmetz I, Tan G, Tan P, Wiersinga WJ, Wuthiekanun V, Smith TL (2012) Workshop on treatment of and postexposure prophylaxis for Burkholderia pseudomallei and B. mallei Infection, 2010. Emerg Infect Dis 18(12): 2.
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Published
Oct 6, 2024
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How to Cite
HiepN. T. (2024). A rare case of melioidosis with mediastinal abscess treated in Vietnam . Tạp Chí Y Dược lâm sàng 108, 19(7). https://doi.org/10.52389/ydls.v19i7.2460